Normal fibronectin levels after surgical treatment of portal hypertension in liver cirrhosis.

V De Angelis, M Zambon, L Toffolo, G P Voltan, B M Orazi, L Santarossa, C Donada, R Zuin
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Abstract

We found a significantly higher plasma fibronectin concentration in a group of nine cirrhotic patients who underwent surgical treatment for portal hypertension (either shunting and non shunting procedures) when compared to twenty non operated patients. Significantly shorter prothrombin time and activated partial thromboplastin time in the operated patients were found as well. These results might be related to an increased breakdown of fibronectin during consumption coagulopathy taking place in the extended collaterals and reversed in part by surgical treatment of portal hypertension complicating liver cirrhosis.

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肝硬化门静脉高压症手术治疗后纤维连接蛋白水平正常。
我们发现9例接受手术治疗门静脉高压症(分流和非分流)的肝硬化患者血浆纤维连接蛋白浓度明显高于20例未手术治疗的患者。手术患者凝血酶原时间和部分凝血活酶活化时间均明显缩短。这些结果可能与消耗性凝血功能障碍期间纤维连接蛋白分解增加有关,这种情况发生在延伸侧枝中,并且通过门静脉高压并发肝硬化的手术治疗部分逆转。
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